Umbilical hernia. Sutures/mesh?

[juicebro]

Anyone had their hernia fixed with sutures only? Is that appropriate for people who lift? Has anyone had theirs break? Going under the knife next week. Wondering if I should insist on getting mesh put in or not. The surgeon wants to do sutures only. It's a tiny umbilical hernia that does not need to be fixed and causes zero issues. I just want to get my outtie belly button into an innie again.

Thoughts?

 

[BamaCrazy]

Anyone had their hernia fixed with sutures only? Is that appropriate for people who lift? Has anyone had theirs break? Going under the knife next week. Wondering if I should insist on getting mesh put in or not. The surgeon wants to do sutures only. It's a tiny umbilical hernia that does not need to be fixed and causes zero issues. I just want to get my outtie belly button into an innie again.

Thoughts?

I also have an umbilical hernia. I’ve talked to my Doc about it but I haven’t decided yet. I think sutures have a shorter recovery than the mesh. Getting back in the gym as quick as possible is the goal.

I’ll be curious to know what you decide and what your recovery was like.

 

[juicebro]

I also have an umbilical hernia. I’ve talked to my Doc about it but I haven’t decided yet. I think sutures have a shorter recovery than the mesh. Getting back in the gym as quick as possible is the goal.

I’ll be curious to know what you decide and what your recovery was like.

Yeah, but it would suck to have to do it again 6 months later or something if it doesn't hold. Although the incision and scar is probably smaller with sutures only too.

I have tons of gh, tb-500, bpc-157 and ghk-cu ready... When I had gyno surgery even after complications (hematomas) I was healing super fast on this stack and was back in the gym after 2 weeks.

 

[Wizbang]

I discussed this at length with my surgeon before deciding (Inguinal not umbilical but plenty of crossover), doing it "open" and closing without mesh takes the longest to heal and also can lead to weak spots surrounding the area repaired, mesh laproscopic or robolap is the fastest and the surgeon felt very confident that it would heal fast, heal right and provide plenty of "support" in the general area to not re-herniate, he mentioned there is a slim chance of what's called "mesh migration" where it could shift or move but its pretty unlikely. I opted for robolapro, I am current 3 weeks post and very light weight back to the gym started this AM. I am taking BPC (1mg SC AM) along the way and the doc has been "thrilled" with progress asking me what I'm doing to get my incisions to heal up so well. Just my 2 cents

 

[Ghoul]

Anyone had their hernia fixed with sutures only? Is that appropriate for people who lift? Has anyone had theirs break? Going under the knife next week. Wondering if I should insist on getting mesh put in or not. The surgeon wants to do sutures only. It's a tiny umbilical hernia that does not need to be fixed and causes zero issues. I just want to get my outtie belly button into an innie again.

Thoughts?

I had mine done several years ago via robotic assisted surgery.

I also assumed a mesh would be a more durable repair.

I explicitly told the surgeon I was concerned about it failing under heavy strain.

He said that there was a move away from meshes except in the rare of cases of severe herniation with a large opening to cover. More complications, more points of failure with a mesh.

He said he'd use a method that would provide an extremely strong repair, and have as low, or more likely, lower chance of failure than a mesh.

6 years on, no scar, no failure. 1 follow up appointment to check in progress and everything was fine.

This guy was a professor and had other docs in the operating theater who were being taught robotic assisted surgery.

Strongly recommend choosing your surgeon wisely for the best outcome.

 

[Ghoul]

By the way it was 4 weeks no lifting over 10lbs, another 4 no lifting over 25, then unrestricted after follow up at 3 months.

This subject brought up memories of the procedure because it was still relatively uncommon at the time, and found this surgeon because I was specifically looking for someone who used a robotic assisted procedure.

(don't feel obligated to use the surgeon who diagnosed you)

It's much more common now so easier to find. Here are the advantages,

Robotic Hernia Surgery: How It's Done, Recovery and Side Effects

Robotic surgery allows surgeons to repair hernias while operating a console, instead of operating directly on you. Learn what’s involved.

my.clevelandclinic.org

When I was wheeled in, the room lighting was dimmed, he was behind a bunch of screens at a console, and it looked like a NASA mission command center, lol.

TLDR the biggest advantage is that they can work with a view from the inside of your gut, via a tiny incision, instead of having to make a large cut to see what they're doing.

 

[bigdaddyandfriends]

Significant number of people that undergo herniorraphy with mesh repair end up with severe chronic inflammation/fibrosis associated with the foreign material. I see it all the time on PET/CT scans (mostly done for cancer staging/restaging) which I read as a career. This may be asymptomatic but can cause systemic inflammatory markers ie hs-CRP to increase, and that has implications for development and progression of ASCVD, something just about everyone on this platform needs to mitigate.

Unless the hernia is so large that a mesh is required, which is sometimes the case but mostly in those with prior laparotomy, I'd avoid it and stick with the sutures. And then modify your training regimen and breathing techniques to minimize chance of recurrence.

Heavy compound movements are great for strength and 'bulking' when starting a training regimen, but as we get older it's often best to abandon them, as they greatly increase intra-abdominal pressure which can lead to hernias, not to mention other injuries. Machines along with isolation movements using free weights are just safer. I made this transition once I turned 50 - and have definitely lost strength but not size, in fact I look better now than I ever did before, admittedly in part because of discovering 'super supplements'.

 

[bryan_usa]

Don't do mesh. There are many complications over time and sometimes the body simply rejects the foreign mayerial or it tears/moves. I had umbilical done using the Desarda method, but it's primarily for inguinal. it's is the best and I did a ton of research. Go to the web site and find surgeons that specialize in it for your country.

 

[skubysnacks]

Mine was fixed with sutures only a couple of years ago. Five days after the surgery, I loaded and unloaded 500bf of hardwood lumber. It didn't hurt at all. I didn't follow the weight restrictions. I didn't lift weights for about 2 months. I never blew out the stitches.

 

[Gdubb184]

Avoid mesh if you can. Polypropylene is not designed for permanent placement within the body.

 

[juicebro]

Seems some people are active after a week while others take months to recover. Interesting.

I asked about mesh and the surgeon also said there's on need to leave a foreign object in me if it's not absolutely necessary. Which it isn't since it's a minor hernia. I did read a bunch of horror stories on other boards about people being in pain for years because of mesh or just uncomfortable because they can actually feel it when they move. Sutures only it is.

Going under the knife on Tuesday.

 

[Gatman]

Sutures are used on small hernias ...generally umbilical...mesh is used on larger hernias

I have had 5 separate hernia surgeries mesh was used on all....last two were robotic ....the last hernia was where the incision was made ...very rare occurrence but it happened

Never hand any issues with mesh movement or rejection

 

[17SS]

Sutures are used on small hernias ...generally umbilical...mesh is used on larger hernias

I have had 5 separate hernia surgeries mesh was used on all....last two were robotic ....the last hernia was where the incision was made ...very rare occurrence but it happened

Never hand any issues with mesh movement or rejection

What was your recovery time on the robotic mesh?

 

[Gatman]

What was your recovery time on the robotic mesh?

robotic is an out patient procedure but i stayed out of the gym for 6weeks did do alot of walking and treadmill.....you would be surprised at how much you feel your core when lifting .

 

[Ateam2023]

Sutures are used on small hernias ...generally umbilical...mesh is used on larger hernias

I have had 5 separate hernia surgeries mesh was used on all....last two were robotic ....the last hernia was where the incision was made ...very rare occurrence but it happened

Never hand any issues with mesh movement or rejection

Wanna hear a "rare occurrence" i had a bicep tendon at the shoulder repair ,, That malfunctioned 7 years later , fml but it did not hurt really and i still have rom and if i wanted to strength, but i dont lift heavy anymore especially after this recent development, , and i have an umbilical hernia too,, lol i go to talk to the hernia surgeon today ,, Waiting to t aslk to orth dr about shoulder soon ,

 

[bigead]

I had my umbilical hernia done in 2021 with mesh. Started lifting about 4 weeks after, no issues yet.

 

[Ateam2023]

update on hernia surgery, i will be getting a robotic procedure, with the mesh implant, sometime in june next month,,

 

[17SS]

robotic is an out patient procedure but i stayed out of the gym for 6weeks did do alot of walking and treadmill.....you would be surprised at how much you feel your core when lifting .

I understand. Having surgery very soon…. Sometime tomorrow. Lol. Doctor said 2 weeks and full release…wtf? You’re saying I will be allowed to drag a 300 lb dude out of a fire in 2 weeks. He seemed too confident but his metrics back up his statements.

I told him slow your roll and let me get my summer vacation time back at least. Lol

But none of that is in my hands. Doctors/surgeons/company doctors.

Whatever.

I might be able to drag this out longer than expected afterall….